20100380 Ver 1_401 Application_20100510

LCCS, Inc.
1156 Perth Road
Troutman, NC 28166
Phone [phone]
Fax: [phone]
Contact Information:
Steve Davis
sdavis(&-Iancasterdock.com E MAIL ADDRESS
LCCS
1156 Perth Road
Troutman, NC 28166
704-528-7400 Phone
704-528-3400 Fax
www.lancastardock.com WEB SITE
DUKE POWER LAKE MANAGEMENT, EC12-0
P. O. BOX 1006
CHARLOTTE, NC 28201-1006 2 0 i o o? 8 0
704-382-1567 OR TOLL FREE 1-800-443-5193
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
CAROLINA
Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A in
blank. PLEASE SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING FEE, PAYABLE
TO DUKE POWER, TO ABOVE ADDRESS.
1. Applicant Information
A. Name
B. Mailing Address 7y0/ C'??'.?r?avv7 eoze-L6, f le¢,'OEl6/f, .(/G 2761.5
C. Telephone . 4 - Ga 2- 3 7 2 6 /
11. Location of Proposed Project r J z
A. Lake /ydR?t A?? ??'?`"
B. Street Address 3--y YS- G111ye ov,4Ito r'iN AIAti6 4- JIA44? ; ' Lr-
C. County /,A ti LD A. e/
D. City, Town, Community or Landmark C.4--,+Av6,f 5AWtei6S, x1 4- Z1437
E. Section Lot # 3 7 Subdivision
F. /Directions to property by road '0e,, ! SD ?`-s G?a66 S Qfi? /
lz/
G. Latitude and longitude for the project site 539,3S7- I ^ 80. 95 ?3`f,S
H. Please submit a map showing the coordinates or a detailed map (USGS quad map, city map,
etc.) showing the exact location of the project site. (NOTE: Latitude/longi I
be found on internet site, www.mapsonus.com. Directions: Don't registe 5
address, draw map, select "Map Clicking Will...", select "Lat/Long", click 9p)
MAY ZOii? L?
Ill. Description of Project
A. Length of wall WE DENR-WATER QUALIYy
4127 TLANDS AND 5MR%yiATER MMC,4
B. Material 45,< It/,q /-L
C. Distance from property line/shoreline Fo Mo w jCx,s f,r,_1 „9,oleeA/ , e
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signature Date
PLEASE NOTE THE FOLLOWING:
J__ /7-/ 4/
A COPY OF THE COMPLETE APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: US
ARMY CORPS OF ENGINEERS, 151 PATTON AVENUE, ROOM 208, ASHEVILLE, NC 28801-5006
13 A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA" AND SEVEN (7)
COPIES OF THE COMPLETED "NC DIVISION OF WATER QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION" MUST BE
SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO: NC DIVISION OF WATER QUALITY, ATTENTION: Cyndi
Karoly, PARKVIEW BLDG., 2321 CRABTREE BLVD., RALEIGH, NC 27604, PHONE: [phone]
Lake (Full Fond)
lI
Full Fond
Shoreline

r^A 1-FI A4
Please approximately sketch the following information on this plan (please provide dimensions
for each item, such as 10 ft. x 100 fL):
1) All proposed vpgetation clearing (provide dimensions)
2) Location of rip rap or fill to be placed above the Full Pond elevation
31 Location of rip rap or fill to be placed below the Full Pond elevation
4) The location of any proposed structures such as buildings, retaining walls, docks, etc.
5) The location of any excavation or dredging below the Full Pond elevation.
6) Location of construction access corridors.
'?T9 401 WATER QUALITY CERTIFICATION APPLICATION
The following is an abbreviated application form for those applying for a 401 Water Quality Certification to
impact FERC (Federal Energy Regulatory Commission) regulated lake shore or bottom under the U.S.
Army Corps of Engineers Permit GP30. This Application cannot be used for wetland or stream impacts.
Please provide seven (7) copies of this application and supporting information as well as a non-
refundable application fee to the Division of Water Quality of $200.00 for impacts to lake bottom of less
than 1 acre and $475.00 for impacts to lake bottom of greater or equal to 1 acre.
APPLICATIONS TO BE SENT TO:
DIVISION OF WATER QUALITY WETLANDS UNIT
1650 MAIL SERVICE CENTER
RALEIGH, NC 27699-1650
la Applicant Information
1. Owner/Applicant Information
Name
Mailing Address
Telephone Number - 9/ q 2 ,3 7 2-,6
Fax Number
E-mail Address
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached
if the Agent has signatory authority for the owner/applicant)
Name Mark LANC#s-{-e2
Company Affiliation Lancaster Custom Dock & Shorelines
Mailing Address 1156 Perth Road
Troutman, NC 28166
Telephone Number 704-628-7400
Fax Number 704-528-MO
E-mail Address docks@lancasterdock_com
IIv Project Information
Attach a vicinity map clearly showing the location of the property with respect to local landmarks
such as towns, rivers, and roads Also provide a detailed site plan showing property boundaries
and development plans in relation to surrounding properties. You may use the diagram below to
make a hand sketch of your project. Also, see the example below for guidance. Both the vicinity
map and site plan must include a scale and north arrow. The footprints of all buildings, impervious
surfaces, or other facilities must be included.
Location
County Nearest Town e J/??2 tn/?S
Subdivision name or site address (include phase/lot number): 1179
?s
Directions to site- please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included): n /_-4-L. //v-) / c- , //,n ,,
2. Describe the existing land use or condition of the site at the time of this application:
)?e,f -/-1 G0. / As IL A,, /,01., r
3. Property size (acres): /, 20 63e rff L, rs
4. Nearest body of water (stream/river/sound/ocean/lake):
5. Describe the purpose of the proposed work:
6. List the type of equipment to be used to construct the project:

fr !/cam D at/ °I
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
x 'Y 2-77
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls,
etc.) above the normal pool lake level and 50 feet land-ward in square feet or acres:
g27
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance):/kenal - J& rtB'vTi/FL 10
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the appfica71 6s provided)
DUKE POWER DI 0TIONS BY GOAD FORM
Lake Use )?ernr t Applicartts and Contractors: Ease oflocatiag the proposed project site cau have a big
impact on perudtprocessing time. Please complete this form and return it along with your completed
pourn t application to;
Mal POWER
CIO i,ATCE MANt1O1CNT NT -'CC 12 Q
PO BOAC 1006
CH,kRLOTTE, NC; 29201-1006
I-800--443-5193 or Option 5
Applicant's Narrto;`?. {?Qor_1te tryrv.??
?i_
S'trcct A dclress (at [Ac): PA
Lake Nan-10; i?d,Q rLt R? - _?
Subdivision Narrtc:
PropccCy Section; _- --- 1 of !{ -. ?..7ff--
?,?t ^,?

I c.1c.plrone: _--- Z
Type of ilarrnit lt.cnucstcd
"Circle":
'rivlte i??tc' '
Cornine Dial Facility
}7XCaViltietl
it iza tro t t
Convcy,anc e
Misc'elCncicous tfses
Dircc6mv; (frorn rncyoc road or hi3flvi?:y): r /
Des criptivc S(ructure(s) ou Properhl (i.e. brick garage, while fetter, mobil horrtc,
"Kota: Plea;e u,c tap back of this form if desired to drary us a snap to the site.
x.? TOTAL_ PAGE. , ?J
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Office of the Tax Administrator, GIS Mapping Division -,-,? -
Lincoln County and its mapping contractors assume no legal responsibility for
the information contained on this map. This map is not to be used for land
conveyance. The map is based on NC State Plane Coordinate System 1983 NAD.
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PHOTOS PARCEL INFORMATION FOR 4615-77-5173
Parcel ID 34780 Owner FLEMING OLIVIA HARRIS
Map 4615-12 Mailing 7101 CATAMOUNT CT
Account 18902 Address RALEIGH NC 276155204
Deed 510-36 Recorded Sale Price 0
Land Value $619,622 Total Value $708,481 Previous Parcel
----- All values are for tax year 2010. -----
Description HOMESITE RD 1378 Deed Acres 0
Address 5145 WINDWARD POINT LN Tax Acres 0.75
Township CATAWBA SPRINGS Tax/Fire District DENVER
Main Improvement RANCH Value $76,955
Main Sq Feet 988 Stories 1 Year Built 1974
Unfinished Basement 988
Zoning Calculated Voting Precinct Calculated Acres

34780 District Acres DENVER (DN29) 0.75
R-SF 0.75
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WS-IVC 0.75 Not in the sewer district 0.75
2000 Census County Tract Block
37109 071200 1001 0.71
37109 071200 1999 0.04
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! Lincoln County and its mapping contractors assume no legal responsibility for
the information contained on this map. This map is not to be used for land
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Date: 5/17/2010 Scale: 1 Inch = 31 Feet
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PHOTOS PARCEL INFORMATION FOR 4615-76-5967
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Account 0090866 Address RALEIGH NC 27609-4769
Deed 93E-146 Recorded 11/11/1993 Sale Price 0
Land Value $543,311 Total Value $543,311 Previous Parcel
----- All values are for tax year 2010. -----
Description LAKE LOT VAC RD 1378
OINT LN Deed Acres 0.46
Tax Acres 0.45
Address WINDWARD P
Township CATAWBA SPRINGS Tax/Fire District DENVER
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Zoning Calculated Voting Precinct Calculated Acres
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AE SPECIAL FLOOD HAZARD AREA BASE ELEVATION DETERMINED - 100 YEAR 4615 0.07
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